Russell N. Petersen, DC

  • Sheboygan, WI
  • Chiropractor
NPI1164550620PAC ID5698796449
Medicare patients, 2024
27
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2007
Practice address
4000 Enterprise Dr, Sheboygan, WI 53083
Practice phone
Call (920) 459-9090
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Creekside Chiropractic and Rehabilitation, Ltd.

Sheboygan, Wisconsin

See all 3 affiliations

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Russell N. Petersen is a chiropractor in Sheboygan, Wisconsin

Russell Petersen practices at Creekside Chiropractic and Rehabilitation, Ltd. in Sheboygan, Wisconsin.

Russell Petersen's NPI, 1164550620, was assigned on February 28, 2007. Russell Petersen graduated from Palmer College Chiropractic - Davenport in 2004. Russell Petersen holds Wisconsin license 4058-012.

NPI and contact details
Medicare PAC ID
5698796449
NPI enumeration date
February 28, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(920) 459-9090
Professional email
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Personal email
Get email
Mobile number
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Sex
Male
Estimated age
48
Medical school graduation
2004

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Russell N. Petersen practices at Creekside Chiropractic and Rehabilitation, Ltd. in Sheboygan, Wisconsin

Russell Petersen's primary practice is Creekside Chiropractic and Rehabilitation, Ltd., at 4000 Enterprise Dr, Sheboygan, WI 53083 in Sheboygan County. The practice phone is (920) 459-9090.

  • Creekside Chiropractic and Rehabilitation, Ltd.
    4000 Enterprise Dr, Sheboygan, WI 53083 · Sheboygan CountyPhone(920) 459-9090

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Russell N. Petersen is affiliated with 2 sites of care and 1 medical group

Russell Petersen's primary practice is Creekside Chiropractic and Rehabilitation, Ltd. in Sheboygan, Wisconsin. Dmand AI also links Russell Petersen to 1 group practice or clinic and 1 medical group, each named with a free account.

Creekside Chiropractic and Rehabilitation, Ltd.Sheboygan, WisconsinPrimary
1 group practice or clinicName with a free account1 medical groupName with a free account
See all 3 affiliations for Russell Petersen

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Russell N. Petersen's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Russell Petersen practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Creekside Chiropractic and Rehabilitation, Ltd.Available with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Russell N. Petersen is one of 1,792 chiropractors in Wisconsin

Chiropractor is Russell Petersen's primary specialty in the NPI Registry, under taxonomy code 111N00000X. Russell Petersen is licensed in Wisconsin.

Specialties and state licenses

  • Chiropractor, WisconsinPrimaryLicense 4058-012 · taxonomy 111N00000X

Chiropractors near Russell Petersen

Counts of chiropractors with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Russell N. Petersen treated 27 Medicare patients in 2024, average age 73

CMS counts 27 Medicare patients who saw Russell Petersen in 2024. 70% of them have high cholesterol, and 56% have high blood pressure. Their average risk score is 0.90, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Russell Petersen's median patient age at 48, with 58% women.

Medicare patients, 202427
Average age73
Average risk score0.90

Russell Petersen's Medicare patients by sex, 2024

  • Women1452%
  • Men1348%

Chronic conditions among Russell Petersen's Medicare patients, 2024

  1. High cholesterol70%
  2. High blood pressure56%
  3. Arthritis52%

Share of Medicare patients with each condition. A patient can have several.

Russell Petersen's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 48

Patient panel by sex, all payers

  • Women58%
  • Men42%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

How Russell N. Petersen takes part in Medicare

Russell Petersen accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

Russell N. Petersen graduated from Palmer College Chiropractic - Davenport

Russell Petersen graduated from Palmer College Chiropractic - Davenport in 2004.

  1. Medical schoolPalmer College Chiropractic - Davenport

Source: Dmand AI Professional Profile Data

Sources for Russell N. Petersen's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Russell N. Petersen

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Russell N. Petersen's NPI number?

Russell N. Petersen's NPI number is 1164550620. It was assigned on February 28, 2007, and it is active in the NPI Registry.

What does Russell N. Petersen specialize in?

Russell N. Petersen is a chiropractor in Sheboygan, Wisconsin. The primary specialty in the NPI Registry is Chiropractor (taxonomy code 111N00000X).

Where does Russell N. Petersen practice?

Russell Petersen practices at 4000 Enterprise Dr, Sheboygan, WI 53083. Russell Petersen's primary practice is Creekside Chiropractic and Rehabilitation, Ltd. in Sheboygan, Wisconsin. Dmand AI also links Russell Petersen to 1 group practice or clinic and 1 medical group.

What is Russell N. Petersen's office phone number?

The practice phone on file for Russell Petersen is (920) 459-9090.

What is Russell N. Petersen's medical license number?

Russell Petersen holds Wisconsin license 4058-012.

Does Russell N. Petersen accept Medicare?

Yes. CMS lists Russell Petersen as accepting Medicare assignment.

How many Medicare patients does Russell N. Petersen see?

CMS counts 27 Medicare patients who saw Russell Petersen in 2024, with an average age of 73.

Where did Russell N. Petersen go to medical school?

Russell Petersen graduated from Palmer College Chiropractic - Davenport in 2004.

How long has Russell N. Petersen been practicing?

Russell Petersen graduated from medical school in 2004, 22 years ago.

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